The person undergoing the assessment for dementia should be allowed to decide if they want to know if the diagnosis is confirmed. In general, if a person is aware that they are going for a diagnosis they will be able to make that choice. It is recommended that a person with dementia be told of their diagnosis.
I'm going to discuss five of the most basic ones here: 1) Don't tell them they are wrong about something, 2) Don't argue with them, 3) Don't ask if they remember something, 4) Don't remind them that their spouse, parent or other loved one is dead, and 5) Don't bring up topics that may upset them.
Honesty isn't always the best policy when it comes to someone with Alzheimer's or dementia. That's because their brain may experience a different version of reality. Dementia damages the brain and causes progressive decline in the ability to understand and process information.
If you find yourself in difficult situations like these, it may be reassuring to learn that studies have shown that both people living with dementia and caregivers endorse the use of lies and deception as long as it is done to promote the person's best interest.
You must also learn how to handle the day-to-day challenges of caring for a person with Alzheimer's disease. Most experts say that if the affected person asks you what's wrong with them, you should be honest. Knowing that the problem is a disease, not "insanity," is often a relief for the person affected.
Therefore, the diagnosis of dementia should not be routinely disclosed, but just as in other disorders, health care professionals should seek to understand their patients' preferences and act appropriately according to their choice.
People with dementia think about the same things that any human thinks about — emotions, relationships, daily life, tasks to accomplish, and more. Receiving a life-changing diagnosis of dementia does not strip a person of their humanity and personhood.
It's true that in the early stages of the disease, people with dementia might fib to cover for memory loss. But most examples of “lying” are dementia symptoms rather than intentional deception. “They're more like an unconscious defense mechanism,” says Kallmyer.
Someone with Alzheimer's disease may start rummaging or searching through cabinets, drawers, closets, the refrigerator, and other places where things are stored. He or she also may hide items around the house. This behavior can be annoying or even dangerous for the caregiver or family members.
Individuals with dementia may experience memory difficulties, issues with their ability to think, and trouble completing daily tasks. They may be aware of their symptoms in the early stages of dementia. However, a person may lose this awareness by the late stages of dementia.
Dementia affects the way a person thinks, which can impact on their ability to respond appropriately or follow a conversation. This could be because they: do not understand what you have said.
What is anosognosia? Anosognosia is a condition that causes someone to be unaware of their mental health condition and how it affects them. It's common in some conditions, including dementia. So, someone who has been diagnosed with dementia, but has anosognosia, doesn't know or believe that they have dementia.
Only if the patient cannot process and make sense of a particular truth is it okay to lie. Of course, there is a difference between accepting the patient's reality and mocking it. Citing examples of what he's seen in his practice, he says, “You don't make eyes to people around you. You don't snicker.
Trying to force a person with dementia to accept personal care constitutes abuse. It is a fundamental human right to say 'no'. However, neglecting someone's personal care needs can also be abusive, as the person's health may be put at risk.
Suspicions and delusions — firmly held beliefs in things that are not real — may occur in middle- to late-stage Alzheimer's.
In addition, individuals with Alzheimer's disease and other dementias frequently become unable to appreciate other people's feelings or needs as sensitively as they once did. As a result, they can seem “selfish” or “self-centered”, and uncaring about other peoples' needs or feelings.
Often when a person with dementia asks to go home it refers to the sense of home rather than home itself. 'Home' may represent memories of a time or place that was comfortable and secure and where they felt relaxed and happier. It could also be an indefinable place that may not physically exist.
When it comes to patients suffering from dementia, making up stories can simply be a way to fill in the memory gaps. This does not mean the person is being intentionally manipulative. They are simply using this as a creative coping mechanism.
Repetitive behavior is usually a sign of insecurity, since people with dementia are often looking for something comfortable and familiar - something over which they have some degree of control.
Repeated stories often represent highly significant memories. The person may repeat themselves because they want to communicate and cannot find anything else to say. The person might have become 'stuck' on a particular word, phrase or action. The person might be bored and under-occupied.
People with dementia can still have nice feelings too. They can feel happy, safe and calm. Some people with dementia may seem like their usual self a lot of the time and you may only notice small changes every now and then. Some people with dementia may not have as many good days.
increasing confusion or poor judgment. greater memory loss, including a loss of events in the more distant past. needing assistance with tasks, such as getting dressed, bathing, and grooming. significant personality and behavior changes, often caused by agitation and unfounded suspicion.
Stage 6. In stage 6 of dementia, a person may start forgetting the names of close loved ones and have little memory of recent events. Communication is severely disabled and delusions, compulsions, anxiety, and agitation may occur.